The Vermont Statutes Online
The Statutes below include the actions of the 2025 session of the General Assembly.
NOTE: The Vermont Statutes Online is an unofficial copy of the Vermont Statutes Annotated that is provided as a convenience.
Title 8 : Banking and Insurance
Chapter 107 : Health Insurance
Subchapter 009 : REQUIRED COVERED BENEFITS
(Cite as: 8 V.S.A. § 4074)-
§ 4074. Treatment of inherited metabolic disorders
(a) As used in this section:
(1) “Inherited metabolic disorder” means a disorder caused by an inherited abnormality of body chemistry for which the State screens newborn infants.
(2) “Low protein modified food product” means a food product that is specifically formulated to have less than one gram of protein per serving and is intended to be used under the direction of a health care professional for the dietary treatment of a metabolic disorder.
(3) “Medical food” means an amino acid modified preparation that is intended to be used under the direction of a health care professional for the dietary treatment of an inherited metabolic disorder.
(b) A health insurance plan shall provide coverage for medical foods prescribed for medically necessary treatment for an inherited metabolic disorder.
(c) Coverage for low protein modified food products prescribed for medically necessary treatment of an inherited metabolic disorder shall be at least $2,500.00 during any continuous period of 12 months for any covered individual. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)
